Provider Demographics
NPI:1437686359
Name:SAMUEL, RONALD ERASTUS (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:ERASTUS
Last Name:SAMUEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7200 CAMBRIDGE ST # A10-187
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4202
Mailing Address - Country:US
Mailing Address - Phone:713-798-3802
Mailing Address - Fax:713-798-0223
Practice Address - Street 1:7200 CAMBRIDGE ST # A10-187
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4202
Practice Address - Country:US
Practice Address - Phone:713-798-3802
Practice Address - Fax:713-798-0223
Is Sole Proprietor?:No
Enumeration Date:2017-05-23
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10060882207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine